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Breast Prosthesis, Mastectomy Sleeve

North Carolina rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Sleeve cost?

$38.90

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $38.90 for this service. Most negotiated rates run $23.99 to $182.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $46 · 10th to 90th $24 to $182Professionalmedian $20 · 10th to 90th $20 to $182
$0.5$2$10$50$200facility $46professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$28.18
Typical High
$45.71
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$204.17

Where North Carolina sits

The same service costs 11.2 times more in Illinois than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 24th of 51

$38.90

IL $269HI $23.99

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.